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1 • • <br /> Monitoring System Certification-Page 2 of 3 816113 <br /> Date of Testing/Servicing:�— <br /> Site Address: 1409 S.AirportWa R P(;E I V E L <br /> D. Results of Testing/Servicing JUL 0 1 2015 <br /> Software Version Installed, 327.04 <br /> Com late the foloWl. i checklist: <br /> ® Yes 0 No* Mile audible alarm operational? <br /> ® yes ❑ No* Is the visual alarm operational? Y erational7 <br /> ❑ No Were al]sensors installed at lowest Dint of secondary containment and positioned so that other equipment will <br /> ® Yes ❑ No* Were all sensors visually fill ctionall tested,and con rrme op <br /> ® Yes <br /> not interfere with their proper o eration? <br /> ❑ Yes ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.mo em <br /> containment <br /> ® N/A operational? <br /> ® Yes ❑ No* For pressurized piping systems,does the twbine automatically shut down if the piping secon ary <br /> 1 ® Sump/Trench Sensors; ® Dis enser Containment Sensors. <br /> ❑ N/A monitoring system detects a leak,fails to operate,oris electrically disconnectep? If yes:which sensors initiate <br /> positive shut-down? (Check all that appy) device(i.e.no <br /> Did you confirm positive sbut-down due to leaks and sensorfailure/disconnection?rkovrfill warning Yes ❑ o <br /> ❑ Yes 0 No* For tank systems that utilize the in system as the p nary 0 <br /> l If so,atwhat percent of tank capacity does the alarm trigger? <br /> ® N/A mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the <br /> fill point(s)and operating propel Y? specific sensors,probes,or other equipment replaced <br /> ❑ Yes* ® No Was any monitoring equipment replaced?Ifyes,identify <br /> y s stems? (Check all that apply) <br /> and list the manufacturer name and model for all re lacement parts in Section E,below, <br /> 0 Yes* ® No Was liquid found inside any secondary containments stems low ed as dry y <br /> 0 Product;0 Water. If yes,describe causes in Section E,below. <br /> W as ing system set-up reviewed to ensure proper settings? Attach set-up report i a licable. <br /> monitorYes ❑ No* Is all monitoring equipment operational per manufacturer's sp <br /> ® ill be corrected. <br /> ecifications? <br /> ® Yes [I No* <br /> *In Section E below,describe how and when these deficiencies were or w <br /> E. Comments: 87&91 are split tanks and share Annular. <br />